title: Bowel loops and eyelid droops.
abstract: A patient presented with a small-bowel obstruction associated with signs and symptoms of botulism. Fecal cultures were positive for viable Clostridium botulinum. This case emphasizes the importance of a broad differential diagnosis and doing a complete examination to account for all signs and symptoms.
authors.affiliation: Department of Medicine, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ont.
authors.forename: Jamie
authors.initials: J
authors.lastname: Spiegelman
authors.forename: David W
authors.initials: DW
authors.lastname: Cescon
authors.forename: Yael
authors.initials: Y
authors.lastname: Friedman
authors.forename: Brie V
authors.initials: BV
authors.lastname: Mazza
authors.forename: John W
authors.initials: JW
authors.lastname: Austin
authors.forename: Anita
authors.initials: A
authors.lastname: Rachlis
authors.forename: Brian J
authors.initials: BJ
authors.lastname: Murray
mesh_terms: D001763:Blepharoptosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D001904:Botulinum Antitoxin / Q000008:administration & dosage*; D001906:Botulism / Q000150:complications* / Q000175:diagnosis; D047014:Clostridium botulinum type B / Q000302:isolation & purification*; D003937:Diagnosis, Differential; D005243:Feces / Q000382:microbiology; D006801:Humans; D007155:Immunologic Factors / Q000008:administration & dosage*; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology*; D007421:Intestine, Small; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D009883:Ophthalmic Solutions; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed
chemical_list: D001904:Botulinum Antitoxin; D007155:Immunologic Factors; D009883:Ophthalmic Solutions